Photo/Video Release

Photo/Video Release

Agreement(Required)
Name(Required)
MM slash DD slash YYYY
(Fill out only if your involvement with Foodbank through your employer, school, or organization)
I declare that I am the parent or legal guardian of the minor and that I am able to contract in my own name. I agree to grant Second Harvest Foodbank of Southern Wisconsin permission to use this participant's Photograph and likeness for promotional purposes described above. By signing below and initialing each page of the Release, I acknowledge that I have read the release or have had it read to me and that I understand the contents and sign it voluntarily and of my own free will. I HEREBY CONSENT TO THE USE OF THE PHOTOGRAPHS ON PARTICIPANT’S BEHALF AND AGREE TO THE PROVISIONS OF THIS RELEASE.
Participant Name
Parent/Legal Guardian Name